Provider Demographics
NPI:1336195999
Name:NATIONAL HERITAGE REALTY, INC.
Entity Type:Organization
Organization Name:NATIONAL HERITAGE REALTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP AND GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:EHRLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-443-6994
Mailing Address - Street 1:1 RAVINIA DR
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 RAVINIA DR
Practice Address - Street 2:SUITE 1250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2112
Practice Address - Country:US
Practice Address - Phone:678-443-6994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility